OBJECTIVE: To investigate processing of human faces identity and of emotional expressions in patients with Alzheimer's Disease (AD). BACKGROUND: Mechanisms responsible for discriminating facial identity may be dissociated from those involved in discriminating facial expressions. Patients with prosopagnosia often have preserved capacities for processing emotional facial expressions and occasionally, patients with focal lesions may recognize human faces without being able to recognize their facial expression. Such a dissociation has not been clearly shown in groups of AD patients. METHODS: Thirty-one probable AD patients and 14 control subjects were administered tasks of discrimination of faces and of emotions. RESULTS: AD patients were significantly impaired in discriminating facial identities and in naming and pointing to named emotions, but were comparable to controls in discriminating facial expressions of emotion. The deficits of facial discrimination and of identification of emotions were, on the whole, correlated with the MMS and Raven scores. Discrimination of emotions was not correlated to either test, suggesting that this ability is based on cognitive processes different from those underlying the MMS and the PM47. CONCLUSIONS: This dissociation implies two separate systems, one dedicated to discrimination of facial identities and the other to discrimination of emotions. This is compatible with the modular organization of cognitive deficits in AD and may explain the well known experience that nonverbal communication often remains effective even in patients with severe dementia.
OBJECTIVE: To investigate processing of human faces identity and of emotional expressions in patients with Alzheimer's Disease (AD). BACKGROUND: Mechanisms responsible for discriminating facial identity may be dissociated from those involved in discriminating facial expressions. Patients with prosopagnosia often have preserved capacities for processing emotional facial expressions and occasionally, patients with focal lesions may recognize human faces without being able to recognize their facial expression. Such a dissociation has not been clearly shown in groups of ADpatients. METHODS: Thirty-one probable ADpatients and 14 control subjects were administered tasks of discrimination of faces and of emotions. RESULTS:ADpatients were significantly impaired in discriminating facial identities and in naming and pointing to named emotions, but were comparable to controls in discriminating facial expressions of emotion. The deficits of facial discrimination and of identification of emotions were, on the whole, correlated with the MMS and Raven scores. Discrimination of emotions was not correlated to either test, suggesting that this ability is based on cognitive processes different from those underlying the MMS and the PM47. CONCLUSIONS: This dissociation implies two separate systems, one dedicated to discrimination of facial identities and the other to discrimination of emotions. This is compatible with the modular organization of cognitive deficits in AD and may explain the well known experience that nonverbal communication often remains effective even in patients with severe dementia.
Authors: Alexandra Varjassyová; Daniel Hořínek; Ross Andel; Jana Amlerova; Jan Laczó; Kateřina Sheardová; Hana Magerová; Iva Holmerová; Martin Vyhnálek; Ondřej Bradáč; Yonas E Geda; Jakub Hort Journal: J Alzheimers Dis Date: 2013 Impact factor: 4.472
Authors: Andreas Blessing; Andreas Keil; L Forest Gruss; Jacqueline Zöllig; Gerhard Dammann; Mike Martin Journal: Int J Alzheimers Dis Date: 2012-03-12
Authors: Katerina Sheardova; Jan Laczó; Martin Vyhnalek; Ross Andel; Ivana Mokrisova; Kamil Vlcek; Jana Amlerova; Jakub Hort Journal: PLoS One Date: 2014-08-21 Impact factor: 3.240